NPI 1003828351

Tracie L Patel, PA

Practitioner Physician Assistant Tampa, FL

Practice location

Address: 10740 Palm River Rd STE 360, Tampa, FL 33619-4578
Phone: (813) 844-7585
Fax: (813) 844-5877
Mailing address: PO Box 1289, Tampa, FL 33601-1289

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9102082 (FL)

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Registry record

NPI: 1003828351
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2006
Record last updated: 16 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.